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Abstract

The implementation of the Dental and Oral Hygiene Services is one of the main activities of the Community Health Center (Puskesmas) which is performed wholly and integraIly includes the efforts of improvement, prevention, cure, and recovery. These activities are conducted in the buildings of the Puskesmas and outside tile buildings. One of the activities outside the buildings of the Puskesmas is the school dental health effort program (UKGS program) The problem of this research is about the description of the available inputs for the UKGS program and the output or the coverage of the UKGS program implementation in Aceh Tamiang Regency. This research is aimed to know the factors which inhibit the input and the process (implementation, so that it will be found the solution to improve the coverage ofUKGS program implementation in Aceh Tamiang Regency. This research is a qualitative one, and the data are obtained from check list, interviews and document review on the reports on dental and oral hygiene services at the Puskesmas in 2003 - 2004 (data from January - October 2004) which are sent to the Department of Health, Aceh Tamiang Regency, then the data was processed in the form of tables. The respondents in this research are the stakeholders of UKGS program at the Puskesmas, and in the Department of Health, that is, those who understand and know most about the problems of the UKGS program; the number of the respondents is 20 persons who consist of 10 officials; 9 heads ofthe Puskesmas, and 1 from the Department ofHealth, and the
Unit ofAnalysis is the Puskesmas in Aceh Tamiang Regency. The result of this research shows that: (1) from the aspect of input: The official are insufficient, there is not any operating fund, facilities and infrastructures are inadequate, the official's responsibility and motivation is still low so influence that target quantity and UKGS program service, the official of teeth health performance still low; (2) From the aspect of process: The implementation of the program is not suitable to the planned target, the supervision and direction from the Department of Health for the officials of the UKGS program at the Puskesmas have not been ever performed, there is not any feedback from the Department of Health to the reports on the dental hygiene services delivered by the Puskesmas to the Department of Health. (3) From the aspect of output, the coverage of UKGS program is still low, that is the coverage per regency for the activity ofmass tooth brushing is IL9%, tile coverage o.f UKGS program Phase I is 38.9%, Phase 11 is 6.8%, and Phase III is 0%. It is suggested: (I) Departement of Health, Aceh Tamiang regency needs to apply the completing of short term policy and long term policy; (2) and the Regional Government revise the policy of financial management to support the UKGS program implementation.